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Neonatal Nurse Practitioner

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Job Details
Job Order Number
Company Name
Stormont-Vail HealthCare
Physical Address

Topeka, KS 66612
Job Description


The Neonatal Advanced Practice Registered Nurse is accountable to provide team-oriented, primary-level patient management of critical and convalescent newborns, including performance of defined medical interventions. The incumbent will provide necessary emergency, acute, supportive care for the ill neonate according to guidelines established by the neonatologists. In addition, the practitioner has a liaison role between the medical and nursing staffs, the family unit, and ancillary health personnel to meet the special needs of the infant.

The delivery of professional nursing care at Stormont-Vail HealthCare is guided by Jean Watson’s Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Watson’s Caring Theory ensures the development of therapeutic relationships and involves human beings and their spirit in every aspect of care delivery, and is demonstrated through the implementation of ten (10) carative behaviors:

1. attentive listening

2. comforting

3. honesty

4. patience

5. responsibility

6. providing information to allow informed decisions

7. touch

8. sensitivity

9. respect

10. calling the patient by name

Essential Duties and Responsibilities include the following. Other duties may be assigned.

+ Provides primary care for high-risk neonates upon delivery, and carries a patient load in the neonatal intensive nursery under the direction of the neonatologists.

+ Elicits, records, and interprets the obstetrical, medical, family and psychosocial history of the neonate’s parents; notes risk factors and their implications for problems in the immediate neonatal period as well as the potential impact on the neonate’s future growth and development.

+ Performs a standard newborn physical examination using the techniques of observation, inspection, auscultation, palpation, and percussion. Assesses for the presence of congenital malformations and performs a gestational age evaluation relating this data to fetal growth measurements for determination of size or date discrepancies.

+ Discriminates between normal and abnormal findings on the physical examination records, identifies infant’s status as well as expected outcome.

+ Develops and implements an initial plan for differential diagnoses and management of presenting problems, discusses the identified problems and their management with the neonatologists.

+ Examines and records findings on patients of the NIC on daily rounds (or more often, if indicated) and discusses infants with the neonatologists.

+ Writes routine health care maintenance orders according to protocol.

+ Requests and interprets necessary laboratory and routine radiographic data for incorporation in the patient’s database and progress evaluation.

+ Performs and records continuous reassessment of problem list, patient progress, and implications for revision of management.

+ Communicates information about the neonate’s diagnosis, plan of management, and progress with referring physicians, parents, and other members of the health care team.

+ Carries out all necessary procedures such as resuscitation from severe apneic episodes, endotracheal intubation, full septic work-up (blood culture, lumbar puncture, venipuncture, arterial sticks), vessel catheterization (UAC/UVC), exchange transfusion, thoracentesis, throacostomy,. All procedures, whether under direct or indirect supervision, will be permitted by the neonatologist after proven competence by the nurse practitioner.

+ Participates in communicating with the parents of the infant and helps provide support for ongoing care.

+ Attends neonates during cesarean section, procedures outside of the unit, surgery, transport to and from the regional center, and high-risk deliveries.

+ Collaborates with members of the high-risk obstetrical team to identify high-risk mothers and anticipate their needs andprovides information pertaining to the NIC.

+ Becomes familiar with the medical history and gestational problems of individual high-risk mothers to be delivered at the institution.

+ Follows the progress of these high-risk mothers in labor and has available the supportive personnel, equipment and drugs in anticipation of delivery of a compromised neonate.

+ Provides immediate supportive care of the newborn in the delivery room, performs the initial vital assessments, resuscitates the infant when necessary, and transfers to intensive care nursery, as appropriate.

+ Contributes to the educational objectives of the NIC.

+ Provides in-service education to the nursing staff on topics dealing with diseases and care of the newborn infant.

+ Interprets the role of the practitioner to other members of the health profession or interested lay groups.

+ Does impromptu staff teaching in the patient care department as the occasion arises.

+ Acts as a resource person for the staff.

+ Participates in community and professional organizations concerned with improving the quality of care for the high-risk mother and newborn.

+ Demonstrates leadership qualities and professional attitude toward self and others.

+ Utilizes appropriate channels of communication.

+ Demonstrates knowledge and implements actions according to Medical Center, Patient Care Services, and Personnel policies.

+ Assumes responsibility for own continuing education.

+ Completes mandatory annual in-services.

+ Keeps Director, Patient Care Services informed of current licensure.

+ Assists in establishing own performance goals.

+ Demonstrates understanding of own job description, responsibilities and standards of performance.

+ Assists with other duties and responsibilities as assigned by the neonatologist or Patient Care Service Director.

+ Manage the medical plan of care as related to the consultation, based on protocols adopted jointly by the advanced registered nurse practitioner and the supervising physician(s) and within the Kansas Nurse Practice Act under the direction of the supervising physician(s).


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Must be a graduate of an accredited PA/APRN program.

Must have three years experience as a staff nurse; two of which must be in a neonatal intensive care unit. Graduate of an accredited neonatal nurse practitioner program. National certification as a neonatal nurse practitioner to be acquired within one year of completion of practitioner program. The incumbent must be able to work effectively in crisis situations and possess independent decision-making skills.

Certificates and Licenses:

Current RN and PA/APRN licensure in State of Kansas.

Be certified as a nurse practitioner by a recognized national certifying body that has established standards for nurse practitioners.

Additional certification may be required for certain patient care settings or populations. The department director will provide specific information and the timeframe in which such certification must be attained at the time of hire/transfer into department.

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